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Exam NCLEX-RN topic 4 question 102 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 102
Topic #: 4
[All NCLEX-RN Questions]

A mother called the physicians office to ask if it would help relieve her small daughters abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurses response is based on the knowledge that:

  • A. The symptoms could easily have been caused by constipation, which an enema would relieve
  • B. Heat would help to relax the abdominal muscles and relieve her pain
  • C. Both heat and enemas stimulate intestinal motility and could increase the risk of perforation
  • D. Complaints of stomach ache are common in young children and are generally best ignored
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Suggested Answer: C 🗳️
(A) Constipation does not cause fever or vomiting but may cause anorexia. Risk of perforation outweighs the possible benefits of an enema. (B) Heat will not relieve her symptoms but will increase intestinal motility and increase the risk of perforation. (C) Heat and enemas are contraindicated where severe abdominal pain is suspected because they increase intestinal motility and the risk of perforation. (D) Complaints accompanied by physical symptoms such as pain, anorexia, and fever should never be ignored.
by [deleted] at March 10, 2025, 6:48 a.m.

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